Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.44 / $407.44 / $826.89	Facility		$407.44	$407.44	$826.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.89 / $407.44 / $407.44	Professional		$244.89	$407.44	$407.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.91 / $526.69 / $1,000.02	Facility		$438.91	$526.69	$1,000.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.11 / $410.57 / $437.94	Professional		$381.11	$410.57	$437.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $388.32 / $631.13	Professional		$330.07	$388.32	$631.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $407.44 / $617.09	Facility		$156.69	$407.44	$617.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $384.06 / $384.06 / $384.06	Professional		$384.06	$384.06	$384.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $637.70 / $637.70 / $980.50	Professional		$637.70	$637.70	$980.50
United Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $273.10 / $396.00	Professional		$209.83	$273.10	$396.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $914.69 / $2,524.25 / $2,524.25	Facility		$914.69	$2,524.25	$2,524.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,746.82 / $2,746.82 / $3,985.65	Professional		$2,746.82	$2,746.82	$3,985.65